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New Jersey Office of the State Comptroller: Medicaid Fraud Division · May 14, 2001 · Primary source

OSC Audit Finds Bernards Township Medicaid Provider Bonnie Brae Failed to Adequately Document Required Care and Must Repay $1.5 Million

Score 86PRIMARYregulatoryState MFCUNJ

Summary

The New Jersey Office of the State Comptroller's Medicaid Fraud Division audited Bonnie Brae, a residential treatment provider for youth with behavioral and mental health needs in Bernards Township, and found pervasive documentation failures including overlapping therapy sessions, nearly identical progress notes across patients, services documented for absent youth, and two unlicensed clinical coordinators. Bonnie Brae received approximately $34.4 million from Medicaid during the audit period and more than $91 million over five years. OSC ordered repayment of $1,528,109 and recommended retention of an independent third-party monitor to oversee compliance.

What this may mean

Bonnie Brae must repay $1,528,109 to New Jersey Medicaid and OSC recommends the facility retain an independent third-party compliance monitor given the breadth of documentation failures. The audit found Bonnie Brae could not demonstrate it met minimum required hours for clinical therapy and psychiatric services, employed unlicensed staff, and submitted records too implausible to verify service delivery to vulnerable youth. The findings create state Medicaid fraud and overpayment exposure for residential behavioral health providers that cannot substantiate billed services through reliable clinical documentation.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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